Badley, Shaqwon

Badley, Shaqwon is an sole proprietor health care provider with primary practice located at 13201 Granger Rd Ste 8 , Garfield Heights OH 44125-1979. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Badley, Shaqwon can be contacted via phone (216) 831-2255.

Contact Information

Primary practice address
13201 Granger Rd Ste 8 Garfield Heights OH 44125-1979
Phone: (216) 831-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1033846613
LBN Legal business name Badley, Shaqwon
Credentials QMHS, CMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2022
Last updated Dec 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033846613 NPPES
Ohio MEDICAID 2910854

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